학술논문

Assessment of Pazopanib-Related Heart Failure in Patients With Advanced Soft Tissue Sarcoma ― A Single Institute Analysis ―
Document Type
Journal Article
Source
Circulation Journal. 2024, 88(2):228
Subject
Cardio-oncology
Heart failure
Pazopanib
Soft tissue sarcoma
Tyrosine kinase inhibitor
Language
English
ISSN
1346-9843
1347-4820
Abstract
Methods and Results:This study retrospectively analyzed the cases of STS patients treated with pazopanib (n=151) between 2012 and 2020. HF occurred in 6 patients (3.9%) at the median onset of 137 (range 14–468) days after the treatment initiation. When their HF was diagnosed, pazopanib was interrupted in all 6 patients. No patients experienced HF-related death, and HF development was not a significant factor for poor overall survival. The cumulative doses of anthracyclines (>225 mg/m2) before pazopanib initiation (83% vs. 37%, P=0.031), pazopanib initiation at age ≥60 years (83% vs. 35%, P=0.026), and the baseline B-type natriuretic peptide (BNP) concentration (≥50 pg/mL) before pazopanib (67% vs. 11%, P=0.002) initiation were predictive factors for post-pazopanib treatment HF.